SYCAMORE SENIOR LIVING, INC. (NPI# 1538792411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538792411 |
| Entity Type | Organization |
| Organization Name | SYCAMORE SENIOR LIVING, INC. |
| Practice Address |
10615 Jordan Rd Whittier CA 90603-2932 |
| Practice Telephone | 5629433724 |
| Mailing Telephone | 5629433724 |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | LEE JOHNSON (TREASURER) |
| Authorized Official Telephone | 2084011369 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Whittier Glen Assisted Living | Doing Business As Name - Organization |
| Street Address |
10615 JORDAN RD |
| City | WHITTIER |
| State | CA |
| Zip Code | 90603-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528398419 | Summerville At Cobbco, Inc. | Assisted Living Facility | 10615 Jordan Rd, Whittier, CA 90603-2932 | 2009-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512858 | In2vison Programs LLC | Health Educator | 16131 Whittier Blvd, Suite 100, Whittier, CA 90603 | 2020-06-16 |
| 1255972717 | Omid Hamid Barkhordar Dental, Inc | Clinic/Center | 16461 Whittier Blvd., Whittier, CA 90603 | 2019-10-04 |
| 1124441746 | Nami H. Jun | Pharmacist | 9436 Portada Drive, Whitter, CA 90603 | 2014-02-03 |
| 1730520024 | Jamshid Azizzadeh | Dentist | 15030 Whittier Blvd. #106, Whittier, CA 90603 | 2013-07-15 |
| 1518239730 | Melissa Mejia | Physical Therapist | 16405 Whittier Boulevard, Whittier, CA 90603 | 2012-02-03 |
| 1053696005 | Will Max | Counselor | 10155 Colima Road, Whittier, CA 90603 | 2011-10-20 |
| 1215168588 | R.e. Mayer, D.d.s., P.C. | Dentist | 15141 E. Whittier Blvd., Suite 255, Whittier, CA 90603 | 2009-08-04 |
| 1487784096 | Cynthia Lee Schroder | Counselor | 10155 Colima Rd., Whittier, CA 90603 | 2007-03-06 |
| 1275679524 | Bach Trong Le | Dentist | 16157 E. Whittier Blvd, Whittier, CA 90603 | 2007-01-30 |
| 1710032958 | Brian Carroll Chung | Oral & Maxillofacial Surgery | 16315 E Whittier Blvd, #201, Whittier, CA 90603 | 2007-01-25 |
| Find all providers in zip 90603 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306485016 | Summerville At Cobbco, Inc. | Assisted Living Facility | 13250 Philadelphia St, Whittier, CA 90601-4312 | 2019-12-27 |
| 1528398419 | Summerville At Cobbco, Inc. | Assisted Living Facility | 10615 Jordan Rd, Whittier, CA 90603-2932 | 2009-12-28 |
| 1851621759 | Brea Whittier LLC | Assisted Living Facility | 8101 Painter Ave, Whittier, CA 90602-3102 | 2009-12-28 |
| 1306089461 | Mount Zion Health Care Services Inc | Assisted Living Facility | 13975 Light St, Whittier, CA 90605-3162 | 2009-04-19 |
| 1770122475 | Brea Whittier, LLC | Assisted Living Facility | 8101 Painter Ave, Whittier, CA 90602-3177 | 2019-12-27 |
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| 1871192682 | Pacifica Sfo LLC | Assisted Living Facility | 624 Laguna St, San Francisco, CA 94102-4217 | 2020-10-22 |
| 1528667367 | Pacifica Sierra Vista Lp | Assisted Living Facility | 13815 Rodeo Dr, Victorville, CA 92395-5600 | 2020-10-22 |
| 1992304737 | West Lyons Lp | Assisted Living Facility | 24305 Lyons Ave, Newhall, CA 91321-2344 | 2020-10-22 |
| 1619576451 | Pacifica Orange County LLC | Assisted Living Facility | 2619 Orange Ave, Costa Mesa, CA 92627-4630 | 2020-10-22 |
| 1720687551 | P San Leandro Lp | Assisted Living Facility | 348 W Juana Ave, San Leandro, CA 94577-3661 | 2020-10-22 |
| 1952900730 | Pacifica Daly LLC | Assisted Living Facility | 995 E Market St, Daly City, CA 94014-2168 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.